| NPI | 1083295588 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MIKKLE HAMPTON CEO 606-516-9939 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| Enumeration Date | 2021-04-16 |
| Last Update Date | 2021-05-26 |